Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $523.12 / $7,212.00	Facility		$126.85	$523.12	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $180.57 / $242.94	Professional		$122.78	$180.57	$242.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $224.49 / $348.62	Professional		$139.97	$224.49	$348.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $152.28 / $267.89	Facility		$119.48	$152.28	$267.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.38 / $233.26 / $291.57	Professional		$194.38	$233.26	$291.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.09 / $2,158.09 / $2,158.09	Facility		$2,158.09	$2,158.09	$2,158.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $228.76 / $442.18	Professional		$143.69	$228.76	$442.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.27 / $237.80 / $367.24	Professional		$196.27	$237.80	$367.24